| NPI | 1972949923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: PA OS020647) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 34012297) |
| 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: OH 34012297) | |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2020-10-19 |